{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:27:33Z","timestamp":1791228453654,"version":"4.1.0"},"reference-count":44,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:00:00Z","timestamp":1659052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000193","name":"International Development Research Centre","doi-asserted-by":"publisher","award":["108966-002"],"award-info":[{"award-number":["108966-002"]}],"id":[{"id":"10.13039\/501100000193","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000193","name":"International Development Research Centre","doi-asserted-by":"crossref","award":["108966-002"],"award-info":[{"award-number":["108966-002"]}],"id":[{"id":"10.13039\/501100000193","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>The Democratic Republic of Congo has implemented reforms to its national routine health information system (RHIS) to improve timeliness, completeness, and use of quality data. However, outbreaks can undermine efforts to strengthen it. We assessed the functioning of the RHIS during the 2018\u20132020 outbreak of Ebola Virus Disease (EVD) to identify opportunities for future development. We conducted a qualitative study in North Kivu, from March to May 2020. Semi-structured interviews were conducted with 34 key informants purposively selected from among the personnel involved in the production of RHIS data. The topics discussed included RHIS functioning, tools, compilation, validation, quality, sharing, and the use of data. Audio recordings were transcribed verbatim and thematic analysis was used to study the interviewees\u2019 lived experience. The RHIS retained its structure, tools, and flow during the outbreak. The need for other types of data to inform the EVD response created other parallel systems to the RHIS. This included data from Ebola treatment centers, vaccination against Ebola, points of entry surveillance, and safe and dignified burial. The informants indicated that the availability of weekly surveillance data had improved, while timeliness and quality of monthly RHIS reporting declined. The compilation of data was late and validation meetings were irregular. The upsurge of patients following the implementation of the free care policy, the departure of healthcare workers for better-paid jobs, and the high prioritization of the outbreak response over routine activities led to RHIS disruptions. Delays in decision-making were one of the consequences of the decline in data timeliness. Adequate allocation of human resources, equitable salary policy, coordination, and integration of the response with local structures are necessary to ensure optimal functioning of the RHIS during an outbreak. Future research should assess the scale of data quality changes during outbreaks.<\/jats:p>","DOI":"10.1371\/journal.pgph.0000429","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T17:23:31Z","timestamp":1659115411000},"page":"e0000429","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Assessing routine health information system performance during the tenth outbreak of Ebola virus disease (2018\u20132020) in the Democratic Republic of the Congo: A qualitative study in North Kivu"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2695-7487","authenticated-orcid":true,"given":"Gabriel Kalombe","family":"Kyomba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume Mbela","family":"Kiyombo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4368-0045","authenticated-orcid":true,"given":"Karen A.","family":"Gr\u00e9pin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9124-2114","authenticated-orcid":true,"given":"Serge Manitu","family":"Mayaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Th\u00e9r\u00e8se Nyangi-Mondo","family":"Mambu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7808-4652","authenticated-orcid":true,"given":"Celestin","family":"Hategeka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mala Ali","family":"Mapatano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0653-1884","authenticated-orcid":true,"given":"Lys","family":"Alcayna-Stevens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge Kule","family":"Kapanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7191-2806","authenticated-orcid":true,"given":"Jo\u00ebl Nkima-Numbi","family":"Konde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7088-7271","authenticated-orcid":true,"given":"Dosith\u00e9e Bebe","family":"Ngo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5561-696X","authenticated-orcid":true,"given":"P\u00e9lagie Diambalula","family":"Babakazo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7986-4618","authenticated-orcid":true,"given":"Eric Musalu","family":"Mafuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aim\u00e9e Mampasi","family":"Lulebo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hinda","family":"Ruton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5637-6053","authenticated-orcid":true,"given":"Michael R.","family":"Law","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,7,29]]},"reference":[{"key":"pgph.0000429.ref001","unstructured":"World Health Organization. Everybody business: strengthening health systems to improve health outcomes: WHO\u2019s framework for action. 2007; https:\/\/apps.who.int\/iris\/handle\/10665\/43918."},{"key":"pgph.0000429.ref002","volume-title":"Design and implementation of health information systems","author":"World Health Organization","year":"2000"},{"key":"pgph.0000429.ref003","volume-title":"Routine Health Information System Rapid Assessment Tool: Implementation Guide","author":"MEASURE-Evaluation","year":"2018"},{"key":"pgph.0000429.ref004","article-title":"Du syst\u00e8me d\u2019information sanitaire \u00e0 l\u2019 intelligence collective","author":"C Tour\u00e9","year":"2016","journal-title":"Recentrer le district sanitaire sur la population gr\u00e2ce aux TICs"},{"key":"pgph.0000429.ref005","volume-title":"Interim report","author":"World Health Organization","year":"2015"},{"issue":"3","key":"pgph.0000429.ref006","first-page":"38","article-title":"The World Health report 2008- Primary health care: How wide is the gap between its Agenda and Implementation in 12 High-income Health Systems?","volume":"7","author":"R Gauld","year":"2012","journal-title":"Healthc Policy"},{"key":"pgph.0000429.ref007","unstructured":"University of Oslo. DHIS2\u2014A global public good transforming health information management around the world. DHIS2 factsheet: June 2018; https:\/\/s3-eu-west-1.amazonaws.com\/content.dhis2.org\/general\/dhis-factsheet.pdf."},{"issue":"Suppl.2","key":"pgph.0000429.ref008","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1186\/1472-6963-13-S2-S9","article-title":"Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative","volume":"13","author":"W Mutale","year":"2013","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"pgph.0000429.ref009","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3917\/spub.204.0407","article-title":"\u00c9tat des lieux du syst\u00e8me d\u2019information sanitaire du Gabon","volume":"32","author":"AP Koumamba","year":"2020","journal-title":"Sante Publique"},{"key":"pgph.0000429.ref010","first-page":"993","article-title":"Routine Health Information Systems in South Africa-Opportunities for Improvement","volume":"216","author":"E Nicol","year":"2015","journal-title":"Stud Health Technol Inform"},{"issue":"3","key":"pgph.0000429.ref011","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1093\/heapol\/czp010","article-title":"PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems","volume":"24","author":"A Aqil","year":"2009","journal-title":"Health Policy Plan"},{"key":"pgph.0000429.ref012","unstructured":"Belay H, Lippeveld T, MEASURE-Evaluation. Inventory of PRISM Framework and Tools: Application of PRISM Tools and Interventions for Strengthening Routine Health Information System Performance. Working Paper Series, June 2013. http:\/\/www.cpc.unc.edu\/measure."},{"key":"pgph.0000429.ref013","doi-asserted-by":"crossref","first-page":"1","DOI":"10.11604\/pamj.2017.28.225.13894","article-title":"Evolution du syst\u00e8me national d\u2019information sanitaire de la r\u00e9publique d\u00e9mocratique du Congo entre 2009 et 2015","volume":"28","author":"S Muhemedi","year":"2017","journal-title":"Pan Afr Med J"},{"key":"pgph.0000429.ref014","unstructured":"Sant\u00e9 en Milieu Rurale (SANRU). Renforcement du SNIS et int\u00e9gration du DHIS2 en R\u00e9publique D\u00e9mocratique du Congo. 2017."},{"key":"pgph.0000429.ref015","unstructured":"Minist\u00e8re de la Sant\u00e9 de la R\u00e9publique D\u00e9mocratique du Congo. Strat\u00e9gie de renforcement du Syst\u00e8me de Sant\u00e9 (SRSS). 2012;(June):1\u201312."},{"key":"pgph.0000429.ref016","unstructured":"Programme National de Lutte contre le Paludisme (PNLP) du Minist\u00e8re de la sant\u00e9 Publique de la R\u00e9publique D\u00e9mocratique du Congo. Plan Strat\u00e9gique National de lutte contre le paludisme 2016\u20132020, Kinshasa, 2015."},{"key":"pgph.0000429.ref017","unstructured":"Organisation Mondiale de la Sant\u00e9 (OMS). Strat\u00e9gie de coop\u00e9ration de l\u2019Organisation Mondiale de la Sant\u00e9 avec le pays R\u00e9publique d\u00e9mocratique du Congo 2017\u20132021. G\u00e9n\u00e8ve, 2021;"},{"key":"pgph.0000429.ref018","unstructured":"Minist\u00e8re de la sant\u00e9 Publique de la R\u00e9publique D\u00e9mocratique du Congo. Plan National de D\u00e9veloppement Sanitaire 2016\u20132020: vers la couverture sanitaire universelle. Kinshasa, 2016."},{"issue":"11","key":"pgph.0000429.ref019","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1503\/cmaj.1031257","article-title":"The impact of SARS on a tertiary care pediatric emergency department","volume":"171","author":"K Boutis","year":"2004","journal-title":"CMAJ"},{"key":"pgph.0000429.ref020","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1186\/1472-6963-8-228","article-title":"The impact of SARS on hospital performance","volume":"8","author":"D Chu","year":"2008","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"pgph.0000429.ref021","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1186\/s12913-018-3666-9","article-title":"Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak","volume":"18","author":"HA Bolkan","year":"2018","journal-title":"BMC Health Serv Res"},{"key":"pgph.0000429.ref022","article-title":"A case series study on the effect of Ebola on facility-based deliveries in rural Liberia","volume":"254","author":"JR Lori","year":"2015","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"pgph.0000429.ref023","first-page":"010406","article-title":"Utilization of non-Ebola health care services during Ebola outbreaks: a systematic review and meta-analysis","volume":"9","author":"JA Wilhelm","year":"2019","journal-title":"J Glob Health"},{"issue":"5","key":"pgph.0000429.ref024","doi-asserted-by":"crossref","first-page":"e255","DOI":"10.1016\/S2214-109X(15)70103-8","article-title":"Magnitude of Ebola relative to other causes of death in Liberia, Sierra Leone, and Guinea","volume":"3","author":"S Helleringer","year":"2015","journal-title":"Lancet Glob Health"},{"issue":"1","key":"pgph.0000429.ref025","doi-asserted-by":"crossref","first-page":"e000007","DOI":"10.1136\/bmjgh-2015-000007","article-title":"Patterns of demand for non-Ebola health services during and after the Ebola outbreak: panel survey evidence from Monrovia, Liberia","volume":"1","author":"B Morse","year":"2016","journal-title":"BMJ Global Health"},{"issue":"8","key":"pgph.0000429.ref026","doi-asserted-by":"crossref","first-page":"e1002096","DOI":"10.1371\/journal.pmed.1002096","article-title":"Facility-Based Delivery during the Ebola Virus Disease Epidemic in Rural Liberia: Analysis from a Cross-Sectional, Population-Based Household Survey","volume":"13","author":"J Ly","year":"2016","journal-title":"Plos Medecine"},{"key":"pgph.0000429.ref027","unstructured":"R\u00e9publique D\u00e9mocratique du Congo. Plan national r\u00e9vis\u00e9 de riposte contre l\u2019\u00e9pid\u00e9mie de la maladie \u00e0 virus Ebola dans les provinces du Nord-Kivu et de l\u2019Ituri. Kinshasa, Octobre 2018."},{"key":"pgph.0000429.ref028","unstructured":"R\u00e9publique D\u00e9mocratique de Congo. Plan de riposte strat\u00e9gique \u00e0 la flamb\u00e9e \u00e9pid\u00e9mique de maladie \u00e0 virus Ebola en R\u00e9publique D\u00e9mocratique du Congo. Kinshasa, Mai 2018."},{"issue":"Supp 2","key":"pgph.0000429.ref029","first-page":"10","article-title":"Integrated disease surveillance and response implementation in Liberia, findings from a data quality audit, 2017","volume":"33","author":"T Nagbe","year":"2019","journal-title":"Pan Afr Med J"},{"issue":"1","key":"pgph.0000429.ref030","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/2049-3258-72-25","article-title":"Factors associated with data quality in the routine health information system of Benin","volume":"72","author":"Y Gl\u00e8l\u00e8-Ahanhanzo","year":"2014","journal-title":"Arch Public Heal"},{"issue":"1","key":"pgph.0000429.ref031","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1017\/dmp.2020.361","article-title":"Optimizing Pandemic Preparedness and Response Through Health Information Systems: Lessons Learned From Ebola to COVID-19","volume":"16","author":"A Lal","year":"2022","journal-title":"Disaster Med Public Health Prep"},{"issue":"3","key":"pgph.0000429.ref032","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0213600","article-title":"A quality assessment of Health Management Information System (HMIS) data for maternal and child health in Jimma Zone, Ethiopia","volume":"14","author":"M Ouedraogo","year":"2019","journal-title":"PLoS One"},{"issue":"7","key":"pgph.0000429.ref033","doi-asserted-by":"crossref","first-page":"e0235823","DOI":"10.1371\/journal.pone.0235823","article-title":"Health management information system (HMIS) data verification: A case study in four districts in Rwanda","volume":"15","author":"A Nshimyiryo","year":"2020","journal-title":"PLoS One"},{"key":"pgph.0000429.ref034","unstructured":"World Health Organization (WHO) Europe. Strengthening health-system emergency preparedness_ toolkit for assessing health-system capacity for crisis management. 2012."},{"issue":"1","key":"pgph.0000429.ref035","first-page":"1012","article-title":"Root Causes of Poor Immunisation Data Quality and Proven Interventions: A Systematic Literature Review","volume":"2","author":"O Wetherill","year":"2017","journal-title":"Ann Infect Dis Epidemiol"},{"key":"pgph.0000429.ref036","article-title":"L\u2019analyse qualitative en sciences humaines et sociales","author":"P Paill\u00e9","year":"2012","journal-title":"Armand Colin"},{"issue":"1","key":"pgph.0000429.ref037","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12911-021-01400-5","article-title":"Routine health information system utilization for evidence-based decision making in Amhara national regional state, northwest Ethiopia: a multi-level analysis","volume":"21","author":"MA Chanyalew","year":"2021","journal-title":"BMC Med Inform Decis Mak"},{"issue":"1","key":"pgph.0000429.ref038","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12911-017-0509-2","article-title":"Routine health information system utilization and factors associated thereof among health workers at government health institutions in East Gojjam Zone, Northwest Ethiopia","volume":"17","author":"AM Shiferaw","year":"2017","journal-title":"BMC Med Inform Decis Mak"},{"issue":"8","key":"pgph.0000429.ref039","doi-asserted-by":"crossref","first-page":"e0237703","DOI":"10.1371\/journal.pone.0237703","article-title":"Effect of data quality improvement intervention on health management information system data accuracy: An interrupted time series analysis","volume":"15","author":"Z Mulissa","year":"2020","journal-title":"PLoS One"},{"issue":"1","key":"pgph.0000429.ref040","doi-asserted-by":"crossref","first-page":"e0211265","DOI":"10.1371\/journal.pone.0211265","article-title":"Quality of routine facility data for monitoring priority maternal and newborn indicators in DHIS2: A case study from Gombe State, Nigeria","volume":"14","author":"AA Bhattacharya","year":"2019","journal-title":"PLoS One"},{"key":"pgph.0000429.ref041","doi-asserted-by":"crossref","first-page":"176","DOI":"10.2471\/BLT.11.092759","article-title":"Improving public health information: a data quality intervention in KwaZulu-Natal, South Africa","volume":"90","author":"W Mphatswe","year":"2012","journal-title":"Bull World Health Organ"},{"issue":"11","key":"pgph.0000429.ref042","doi-asserted-by":"crossref","first-page":"e0207813","DOI":"10.1371\/journal.pone.0207813","article-title":"Comparing individual-level clinical data from antenatal records with routine health information systems indicators for antenatal care in the West Bank: A cross-sectional study","volume":"13","author":"M Venkateswaran","year":"2018","journal-title":"PLoS One"},{"issue":"5","key":"pgph.0000429.ref043","doi-asserted-by":"crossref","first-page":"e001849","DOI":"10.1136\/bmjgh-2019-001849","article-title":"Generating statistics from health facility data: The state of routine health information systems in Eastern and Southern Africa","volume":"4","author":"A Ma\u00efga","year":"2019","journal-title":"BMJ Glob Health"},{"issue":"3","key":"pgph.0000429.ref044","doi-asserted-by":"crossref","first-page":"367","DOI":"10.9745\/GHSP-D-17-00177","article-title":"National assessment of data quality and associated systems-level factors in Malawi","volume":"5","author":"R O\u2019Hagan","year":"2017","journal-title":"Glob Heal Sci Pract"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0000429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T17:24:20Z","timestamp":1659115460000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0000429"}},"subtitle":[],"editor":[{"given":"Ari","family":"Probandari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,7,29]]},"references-count":44,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7,29]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0000429","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,29]]}}}